Individual provider Active NPI

John Michael Slick, LGPC

  • Professional Counselor
  • Hagerstown, MD
National Provider Identifier
1740981166
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LGP12892 Issued in MD
Practice address
20111 Daniels Cir
Hagerstown, MD 21742-8134
Phone
(301) 988-5326
NPI assigned
Mar 13, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LGP12892 MD Primary

Addresses

Primary practice location

20111 Daniels Cir
Hagerstown, MD 21742-8134

Mailing address

20111 Daniels Cir
Hagerstown, MD 21742-8134
Phone (301) 988-5326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 10, 2024 through Dec 10, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LGP12892MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Resonant Counseling LLC CurrentSince Mar 19, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1678665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1740981166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20111 DANIELS CIR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217428134",
            "telephone_number": "301-988-5326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20111 DANIELS CIR",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217428134",
            "telephone_number": "301-988-5326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLICK",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "credential": "LGPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LGP12892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.